BOX 1 Partial List of Necessary Procedures to Immunize a Child

PROCEDURES

RESPONSIBLE PERSON

1.

Be ever alert of the changing vaccine events.

M.D.

 

 

2.

Sit down to order from vaccine representative.

M.D.

Mgr

3.

Negotiate for best price.

M.D.

Mgr

4.

Order substantial amount for best price break.

 

Mgr

5.

Lay out cash $10,000-$25,000 each month or so (no interest income).

 

 

6.

Receive shipment and inventory.

R.N.

Mgr

7.

Store properly.

 

R.N.

8.

Refrigerate cost.

 

office

9.

Monitor temperature and log entries several times a day.

 

R.N.

10.

Maintain proper disposal standards.

office

R.N.

11.

May be audited at any time.

M.D.

Mgr

R.N.

12.

Discuss with each patient his immunization needs.

M.D.

R.N.

 

13.

Call nurse to prepare immunization.

M.D.

 

14.

Prepare immunization with proper technique.

 

R.N.

OFFICE OPERATIONS AND DELIVERY OF IMMUNIZATION SERVICES

John Fontanesi, from the University of California at San Diego, presented findings on immunization services from work flow and time management studies of the delivery of well-child care. Immunization serves as a useful proxy for preventive care in general. The analyses of Dr. Fontanesi and his colleagues suggest that operational factors in clinics



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